Healthcare Provider Details

I. General information

NPI: 1225975469
Provider Name (Legal Business Name): HUMNA RIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7925 FAIRVIEW DR APT 107
TAMARAC FL
33321-3942
US

IV. Provider business mailing address

7925 FAIRVIEW DR APT 107
TAMARAC FL
33321-3942
US

V. Phone/Fax

Practice location:
  • Phone: 954-258-2854
  • Fax:
Mailing address:
  • Phone: 954-258-2854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: